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SAMUEL MICHAL ANDERSON MD
NPI 1659767887
General Practice in Phoenix, AZ

Active since April 14, 2015PECOS Enrolled
PO BOX 31581, PHOENIX, AZ 85046(602) 228-7206 Get Directions Write a Review

NPPES record last updated: February 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Michal Anderson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL MICHAL ANDERSON MD (NPI 1659767887) is an individual general practice provider in Phoenix, Arizona, licensed in Arizona (54241) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1659767887
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSAMUEL MICHAL ANDERSONCredential: MD
Location AddressPO BOX 31581Phoenix, AZ 85046-1581
Mailing Address5300 Antequera Rd Nw Apt 1906Albuquerque, NM 87120-4588 · (602) 228-7206
Phone(602) 228-7206
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 14, 2015
Last NPPES UpdateFebruary 12, 2018
✔ NPI 1659767887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in AZ · 54241
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
PO BOX 31581, Phoenix, AZ 85046
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Michal Anderson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870806425
PECOS Enrollment IDI20260604000634
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Anderson's NPI number?

The NPI number for Samuel Anderson is 1659767887. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Samuel Anderson located?

Samuel Anderson practices at PO Box 31581, Phoenix, AZ 85046. The listed phone number is (602) 228-7206.

What is Samuel Anderson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Samuel Anderson enrolled in Medicare?

Yes. Samuel Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Anderson was last updated on February 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.